Category Archives: Uncategorized

Some LTC facilities are reluctant to be involved in end stage care as they already have a reputation as the place the old go to die. Those that embrace it, require more staff, as the dying have rights to increased … Continue reading →

Protocol from Anodyne Headache and Pain Care in Texas gave 0.3 mg – 0.4 mg/kg ketamine divided into 3 deltoid IM shots separated by 15 minutes for headache and neuropathic pain.  A remarkably successful ketamine IV treatment for depression gave … Continue reading →

Some specialists will leave patients in abject pain with the implication that the imaging they have ordered will in some way help their pain. It does not.  However, an Alzheimer victim was subjected to 4 head CT and has made … Continue reading →

Less than 30% patients respond to antidepressants. Study cataloged depression scale and other features and came up with predictors of depression response particularly to Escitalopram. They included Demographics like black, unemployed, and uneducated; Depression severity and persistence all day ; … Continue reading →

Odd as it sound people allergic to aspirin and arthritis pills can tolerate Sodium salicylate and is non- acetylated. Pharmacy College assures me it is still available as Dodd’s sodium salicylate which is still available through pharmacy suppliers so pharmacy … Continue reading →

Effectiveness of Treatments for Benign Paroxysmal Positional Vertigo of the Posterior Canal Helen S. Cohen, Kay T. Kimball Otol Neurotol  26: 1034–1040, 2005 Modified  Canalith  Repositioning  Maneuver  (CRP)  technique: The head was held in each position as follows: The subject … Continue reading →

In MS cases, 1/6 noted clinical improvement over 2-8 months with Biotin 300 mg/day This is exciting not just for the improved people but potentially for a group that might not further deteriorate. Suggestion was to take 100-300 mg/day which … Continue reading →

Ok this is not a pain  condition but I wanted to put advice where patients can find it.

Scabies has become increasingly resistant to Nix and Kwelleda leaving people with attempts to get Ivermectin orally by emergency release from the US (not easy – they kept sending me repeated letters with more questions to answer). It is easy … Continue reading →

I am sick of health websites that: – don’t give links to what they discuss – are filled with commercial ads – make you go though multiple pages, each with various ads – just repeat what you see elsewhere. It … Continue reading →

Recent review of Polycystic Kidneys states “Because of the proliferative effect of estrogen on hepatic cysts, oral contraceptives containing estrogen and menopausal estrogen therapy should be administered at the lowest effective dose or avoided in patients with ADPKD (autosomal dominant … Continue reading →

Serum lipase has a sensitivity of 91% while amylase had sensitivity of 61%. Specificity was 92% for lipase and 93% for amylase.  Testing lipase and amylase together changed sensitivity very little – was 93%.

Latest algorithm suggests you make sure of diagnosis Use of antivirals doesn’t work Prednisone 1 mg/k x 7 days (why does one need to taper though?) useful